Individual
HEATHER K HEUTSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
905 SAHARA TRL, POLAND, OH 44514-3687
(330) 729-8970
(330) 729-8971
Mailing address
905 SAHARA TRL, POLAND, OH 44514-3687
(330) 729-8970
(330) 729-8971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.025389
OH
363LF0000X
Family Nurse Practitioner
F11180401
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0370139
—
OH
01
—
SP019772
PA LICENSE
PA
Enumeration date
10/02/2018
Last updated
10/05/2021
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